Decompressive Sacral Foraminotomy for Nerve Root Injury during Conservative Treatment of Sacral Fracture: A Case Report
Journal of the Korean Fracture Society
; : 24-28, 2017.
Article
em Ko
| WPRIM
| ID: wpr-129429
Biblioteca responsável:
WPRO
ABSTRACT
A 35-year-old woman visited the emergency department for a pedestrian traffic accident. Severe tenderness was noted at the posterior sacrum area, without open wound or initial neurologic deficit. Fracture of the left sacral ala extended to the S1 foramen, anterior acetabulum, and pubic ramus. Two weeks after the injury, she presented aggravating radiculopathy with the weakness of the left great toe plantar flexion. The S1 nerve root was compressed by the fracture fragments in the left S1 foramen. Decompressive S1 foraminotomy was performed. The postoperative follow-up computed tomography scan showed successful decompression of the encroachment, and the patient recovered well from the radiculopathy with motor weakness. She was able to resume her daily routine activity. We suggest that early decompressive sacral foraminotomy could be a useful additional procedure in selective sacral zone II fractures that are accompanied by radiculopathy with a motor deficit.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Radiculopatia
/
Sacro
/
Ferimentos e Lesões
/
Dedos do Pé
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Acidentes de Trânsito
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Seguimentos
/
Descompressão
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Serviço Hospitalar de Emergência
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Foraminotomia
/
Acetábulo
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Adult
/
Female
/
Humans
Idioma:
Ko
Revista:
Journal of the Korean Fracture Society
Ano de publicação:
2017
Tipo de documento:
Article